chronic exam 4

51問 • 2年前

V Farris

通報

問題一覧

Pt in hospital takes a low dose of zolpidem to help sleep, what is priority

falls risk

Older pt expected with skin d/o, dx with scabies

Observe the extent, document

Facility has a class on which pt who is most at risk for developing osteoporosis

Small-framed men on steroids and smokes

Attend a conference on sleep disturbance, what is right choice

Slow wave sleep (stage 3) decreases steadily over the years

Exacerbation of gout, pt states

Promoted and celebrated

Preceptor needs to intervene if a student nurse says what about a pt on morphine with epidural catheter

Give amitriptyline to pt

Fall on your unit, charge nurse is with new nurse, pt was injured, new nurse states and needs follow up

Pt was trying to reach wheelchair after using bedside commode

Pt has mobility issues what is a good device

Smart cane

Plan of care to prevent pressure ulcers, which interventions should nurse need to teach

HOB @ semi-fowlers for comfort throughout the day

Pt with conditions with both hips cannot get comfortable, you need to figure out why

Why do you go from side to side, address the pain

1. You are speaking with an older adult who reports that they are suffering from insomnia and have been for several weeks now. What is the best intervention to help this pt with their insomnia?

Suggest that they minimize their bedroom lighting and use earplugs while sleeping.

2. You are caring for an older adult pt who has been Dx with Rapid Eye Movement Sleep Behavior Disorder (REM SBD). You correctly explain this disorder to the client when you make which of the following statements?

This disorder is more common in males over 60 years of age.

3. You are caring for an older pt. who has been admitted to a rehab facility. They have developed an alteration in their sleep pattern. What is the best action for the nurse to implement to help promote sleep?

Have the client go to bed at the same time they did when they were at home.

4. You are conducting an initial assessment on a pt. and you suspect they may be experiencing Sleep Apnea. What might make you think that? (Select all that apply)

Daytime sleepiness, sleeping with 3 pillows, reports of choking when waking up from sleep.

5. You are in an acute care setting and your pt. is having difficulty sleeping in the facility and at home. You understand which of the following regarding sleep patterns in the older adult population?

Chronic pain experienced by the pt. can interfere with sleep quantity and quality.

6. You note your (older adult) pt. has a firm, red, irregular, scaly spot on the upper chest. You anticipate the physician to Dx this condition as what?

Squamous Cell Carcinoma

7. You have a pt. who is a paraplegic from a spinal cord injury. They have reddened areas over their hips and sacrum. What action should you implement?

Closely monitor their nutritional intake

8. You are caring for a pt. in an acute care setting and they are on a low dose of Ambien (Zolpidem) for sleep disturbances. Which of the following is of high priority for you?

Documenting the client as being on fall precautions

9. You are teaching a pt. who has been newly Dx with Sleep Apnea and the doctor has ordered CPAP. How would you explain the mechanism of how this works to the pt?

it prevents airways from collapsing

10. What would scabies look like?

curved or linear ridges in the skin

11. You are working in a LTC facility caring for a pt. who has been Dx with Alzheimer’s. They are often up at night time roaming around the facility. What would you do to improve this pt.’s sleep quality?

Increase exposure to natural and artificial light during the day and limit naps.

12. You are caring for a pt. who is high risk for falling and will not stay in bed. The physician has put an order in for siderail restraints only. How would you interpret that? (Which siderails should you use?)

2 full lengths

13. You are working in a clinic caring for a pt who has been Dx with Osteoarthritis (OA) and they report that they have a low-grade fever, are tired, and both of their joints hurt. Which action would be the most appropriate?

prepare the client to have lab work

14. You are a home health nurse educating a pt. who is newly Dx with primary osteoporosis. What should you teach about safe home care?

Remove rugs from the floors.

15. You are teaching a pt. with osteoarthritis about ways to slow the progression of the disease. What statement by the pt. indicates they understand the instructions?

“I am going to start swimming 2x per week.”

16. You are teaching a pt. after Tx for their first gout attack. You should anticipate providing education about what medications?

Colchicine

17. You are caring for a pt. who is suspected of having Rheumatoid Arthritis (RA). You will assess your pt. for which of the following manifestations?

low grade fever, fatigue, anorexia, weight loss.

18. You are caring for a pt. who has neuropathic pain of the lower extremities. Which of the following recommendations should you make to the PCP?

Gabapentin (Neurontin)

19. You are caring an older pt. who is post-op from having a left hip replacement. When you are managing their pain, you should administer which of the following?

the lowest dosage to prevent problems with side effects.

20. You are caring for a group of pt’s who have the potential for pain. Which pt. is most likely to be treated inadequately for this problem?

Pt. w/ expressive aphasia

21. You are caring for an older pt. w/ osteoporosis. What form of exercise is best for this pt. population?

Brisk walking carrying light weights

22. You are caring for a pt. who is receiving 20 mg of prednisone daily for their RA. What precautions should you take when pt’s are on this med?

Obtain a bone density scan every 2 years

23. You are caring for a pt who has had surgery. Which of the actions is most effective when you are assessing the pt’s level of pain?

Have the pt. rate it on a scale of 0 to 10.

24. You are caring for a pt. who has painful joints due to osteoarthritis (OA). What non-pharmacologic intervention should you use?

Get heated paraffin wraps

25. You are caring for a pt. who has chronic gout that has been being controlled. The pt is experiencing exacerbations of gout. What statements by the pt. correlates w/ an exacerbation?

“I just got a promotion and went out with friends to celebrate.”

26. You are caring for a 72-year-old pt. who has a long term Hx of arthritic pain. Their pulse rate and blood pressure are elevated. What intervention would you implement FIRST?

Assess whether the pt. needs pain meds

27. You are caring for a pt. who has a reddened area over their coccyx. What lab test should you monitor?

prealbumin & lymphocytes

28. You are caring for a pt. who has been Dx with Herpes Zoster Virus (Shingles). What would you expect to find in this pt?

painful vesicles

29. You are caring for a pt. with Restless Leg Syndrome (RLS). What might be a recommendation for Tx this pt?

use of stretching techniques

30. You are caring for an older pt. who frequently changes positions and wakes up during the night and “just can’t get comfortable.” What might contribute to this issue?

Pt. has OA in both hips

31. You are a new nurse, reviewing mobility and gait issues that should be observed to help identify an older client’s risk for falling. What will help identify a pt. at high risk for falling?

They have a shuffling gait up and down the hall.

32. You are caring for a pt. who has OA and recently had a repaired hip fracture. What is the priority nursing Dx w/ this pt?

decreased mobility r/t surgical procedure

33. You are assessing an older male pt. in bed and you determine that the pt. is high risk for falls. Which interventions should you implement first?

Provide a urinal at the bedside along with a call light for assistance

34. What cues would lead you to believe that a pt. might be experiencing hearing loss? (Select all that apply)

pt. speaks in a loud voice, reports dizziness and ringing in the ears (tinnitus), turns their ear toward you when you speak.

35. You are caring for a pt. w/ hearing loss in their R ear. What action should you take?

minimize background noise to decrease distractions

36. You are assessing a pt. who you suspect of having a retinal detachment. What would make you suspect that is the Dx?

sensation of a curtain being pulled down over their vision

37. Your pt. having ambulatory surgery and you are teaching them discharge instructions about their laser surgery to extract the cataract from their L eye. What statement would indicate the pt. has a correct understanding of the teaching?

“I will avoid tying my own shoes for several weeks following surgery.”

38. You are working in home health and you are teaching a pt. w/ impaired vision about home safety. What statement by the pt. indicates the need for further teaching?

“I will continue to use a razor to shave my face in the morning.”

39. You are caring for a pt. who is recently Dx with macular degeneration. You correlate which of the following to the development of this condition?

genetic predisposition & smoking

40. You are assessing a pt w/ primary open-angle glaucoma (POAG). What would you expect to observe? (Select all that apply)

Mild eye aching and headaches, increased sensitivity to glare, progressive deterioration of the peripheral vision fields.

41. You are doing discharge teaching for a pt. who just had cataract surgery. Which of the following symptoms would mean the pt. needs to call the Dr immediately?

moderate to severe pain (I’m not entirely sure if this answer means that the patient GOES FROM moderate TO severe pain, or if they HAVE moderate to severe pain, but either way the severe pain is not a good sign.)

NUR 170 exam 4

V Farris · 50問 · 2年前

NUR 170 exam 4

50問 • 2年前

V Farris

Exam 2 (Ch. 30,36,40,41)

V Farris · 77問 · 3年前

Exam 2 (Ch. 30,36,40,41)

Exam 4 Ch. 21

Exam 4 Ch. 21

Ch 19

Ch 19

Exam 5 Ch14

Exam 5 Ch14

Exam 3 Ch. 11

Exam 3 Ch. 11

Exam 6 Ch39

Exam 6 Ch39

Exam 2 Ch. 16

Exam 2 Ch. 16

Exam 3 Ch. 32

Exam 3 Ch. 32

Exam 4 Ch.14

Exam 4 Ch.14

Exam 6 Ch41

Exam 6 Ch41

Exam 6 Ch40

Exam 6 Ch40

Exam 6 Ch43

Exam 6 Ch43

Exam 5 Ch15

Exam 5 Ch15

Exam 5 Ch36

Exam 5 Ch36

Exam 5 Ch5

Exam 5 Ch5

Exam 5 Ch9

Exam 5 Ch9

Exam 4 Ch. 35

Exam 4 Ch. 35

Exam 3 Ch. 28

Exam 3 Ch. 28

Ch 20

Ch 20

問題一覧

Pt in hospital takes a low dose of zolpidem to help sleep, what is priority

falls risk

Older pt expected with skin d/o, dx with scabies

Observe the extent, document

Facility has a class on which pt who is most at risk for developing osteoporosis

Small-framed men on steroids and smokes

Attend a conference on sleep disturbance, what is right choice

Slow wave sleep (stage 3) decreases steadily over the years

Exacerbation of gout, pt states

Promoted and celebrated

Preceptor needs to intervene if a student nurse says what about a pt on morphine with epidural catheter

Give amitriptyline to pt

Fall on your unit, charge nurse is with new nurse, pt was injured, new nurse states and needs follow up

Pt was trying to reach wheelchair after using bedside commode

Pt has mobility issues what is a good device

Smart cane

Plan of care to prevent pressure ulcers, which interventions should nurse need to teach

HOB @ semi-fowlers for comfort throughout the day

Pt with conditions with both hips cannot get comfortable, you need to figure out why

Why do you go from side to side, address the pain

1. You are speaking with an older adult who reports that they are suffering from insomnia and have been for several weeks now. What is the best intervention to help this pt with their insomnia?

Suggest that they minimize their bedroom lighting and use earplugs while sleeping.

This disorder is more common in males over 60 years of age.

Have the client go to bed at the same time they did when they were at home.

4. You are conducting an initial assessment on a pt. and you suspect they may be experiencing Sleep Apnea. What might make you think that? (Select all that apply)

Daytime sleepiness, sleeping with 3 pillows, reports of choking when waking up from sleep.

Chronic pain experienced by the pt. can interfere with sleep quantity and quality.

6. You note your (older adult) pt. has a firm, red, irregular, scaly spot on the upper chest. You anticipate the physician to Dx this condition as what?

Squamous Cell Carcinoma

7. You have a pt. who is a paraplegic from a spinal cord injury. They have reddened areas over their hips and sacrum. What action should you implement?

Closely monitor their nutritional intake

8. You are caring for a pt. in an acute care setting and they are on a low dose of Ambien (Zolpidem) for sleep disturbances. Which of the following is of high priority for you?

Documenting the client as being on fall precautions

9. You are teaching a pt. who has been newly Dx with Sleep Apnea and the doctor has ordered CPAP. How would you explain the mechanism of how this works to the pt?

it prevents airways from collapsing

10. What would scabies look like?

curved or linear ridges in the skin

Increase exposure to natural and artificial light during the day and limit naps.

2 full lengths

prepare the client to have lab work

14. You are a home health nurse educating a pt. who is newly Dx with primary osteoporosis. What should you teach about safe home care?

Remove rugs from the floors.

15. You are teaching a pt. with osteoarthritis about ways to slow the progression of the disease. What statement by the pt. indicates they understand the instructions?

“I am going to start swimming 2x per week.”

16. You are teaching a pt. after Tx for their first gout attack. You should anticipate providing education about what medications?

Colchicine

17. You are caring for a pt. who is suspected of having Rheumatoid Arthritis (RA). You will assess your pt. for which of the following manifestations?

low grade fever, fatigue, anorexia, weight loss.

18. You are caring for a pt. who has neuropathic pain of the lower extremities. Which of the following recommendations should you make to the PCP?

Gabapentin (Neurontin)

19. You are caring an older pt. who is post-op from having a left hip replacement. When you are managing their pain, you should administer which of the following?

the lowest dosage to prevent problems with side effects.

20. You are caring for a group of pt’s who have the potential for pain. Which pt. is most likely to be treated inadequately for this problem?

Pt. w/ expressive aphasia

21. You are caring for an older pt. w/ osteoporosis. What form of exercise is best for this pt. population?

Brisk walking carrying light weights

22. You are caring for a pt. who is receiving 20 mg of prednisone daily for their RA. What precautions should you take when pt’s are on this med?

Obtain a bone density scan every 2 years

23. You are caring for a pt who has had surgery. Which of the actions is most effective when you are assessing the pt’s level of pain?

Have the pt. rate it on a scale of 0 to 10.

24. You are caring for a pt. who has painful joints due to osteoarthritis (OA). What non-pharmacologic intervention should you use?

Get heated paraffin wraps

25. You are caring for a pt. who has chronic gout that has been being controlled. The pt is experiencing exacerbations of gout. What statements by the pt. correlates w/ an exacerbation?

“I just got a promotion and went out with friends to celebrate.”

26. You are caring for a 72-year-old pt. who has a long term Hx of arthritic pain. Their pulse rate and blood pressure are elevated. What intervention would you implement FIRST?

Assess whether the pt. needs pain meds

27. You are caring for a pt. who has a reddened area over their coccyx. What lab test should you monitor?

prealbumin & lymphocytes

28. You are caring for a pt. who has been Dx with Herpes Zoster Virus (Shingles). What would you expect to find in this pt?

painful vesicles

29. You are caring for a pt. with Restless Leg Syndrome (RLS). What might be a recommendation for Tx this pt?

use of stretching techniques

30. You are caring for an older pt. who frequently changes positions and wakes up during the night and “just can’t get comfortable.” What might contribute to this issue?

Pt. has OA in both hips

31. You are a new nurse, reviewing mobility and gait issues that should be observed to help identify an older client’s risk for falling. What will help identify a pt. at high risk for falling?

They have a shuffling gait up and down the hall.

32. You are caring for a pt. who has OA and recently had a repaired hip fracture. What is the priority nursing Dx w/ this pt?

decreased mobility r/t surgical procedure

33. You are assessing an older male pt. in bed and you determine that the pt. is high risk for falls. Which interventions should you implement first?

Provide a urinal at the bedside along with a call light for assistance

34. What cues would lead you to believe that a pt. might be experiencing hearing loss? (Select all that apply)

pt. speaks in a loud voice, reports dizziness and ringing in the ears (tinnitus), turns their ear toward you when you speak.

35. You are caring for a pt. w/ hearing loss in their R ear. What action should you take?

minimize background noise to decrease distractions

36. You are assessing a pt. who you suspect of having a retinal detachment. What would make you suspect that is the Dx?

sensation of a curtain being pulled down over their vision

“I will avoid tying my own shoes for several weeks following surgery.”

38. You are working in home health and you are teaching a pt. w/ impaired vision about home safety. What statement by the pt. indicates the need for further teaching?

“I will continue to use a razor to shave my face in the morning.”

39. You are caring for a pt. who is recently Dx with macular degeneration. You correlate which of the following to the development of this condition?

genetic predisposition & smoking

40. You are assessing a pt w/ primary open-angle glaucoma (POAG). What would you expect to observe? (Select all that apply)

Mild eye aching and headaches, increased sensitivity to glare, progressive deterioration of the peripheral vision fields.

41. You are doing discharge teaching for a pt. who just had cataract surgery. Which of the following symptoms would mean the pt. needs to call the Dr immediately?